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General NPI Number Information
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NPI Number | 1326839424
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Entity Type | Organization
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Legal Business Name | BAD BEHAVIOR HEALTH
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8637 FREDERICKSBURG RD # 208
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1219
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Country | US
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Telephone | 210-529-0505
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Fax |
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Provider Business Mailing Address
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Address Line | 9110 N LOOP 1604 W STE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78249-3397
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Country | US
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Telephone | 210-529-0505
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | KHALILAH DOUGLAS
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Credential |
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Telephone | 210-529-0505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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